insurance and colonoscopy

[Dznypal]

My new PCP insists on me having a colonoscopy

I explained to her what happened the last time which was in 2023. Im supposed to go every 5 years
and why Im so scared to go anymore--I stopped breathing twice the dr gave me to much fentanyl
since I was a fidgety..He kept giving me more since the dose wasnt working..But then it all hit my system
at once..They had to give me Narcan to reverse the overdose.

She said I could have anesthesiologist with me which could maybe help me.
Not sure thoght if my insurance will cover that.

I know all insurances are different Im on medicare.
But jsut wondering if anyone else had an anesthesiologist and insurance covered it.
I know theres people out there that dont have any sedation at all.
I have already messaged my insurance about it.

 

[Kooks and Bay Bay]

I'd call and ask Medicare what their policy is.

There SHOULD be an anesthesiologist or at least nurse anesthetist taking care of sedating you so not sure if you actually mean that non trained people were giving you sedation???

Perhaps you'd better off having general anesthesia with a breathing tube?

Do you have any conditions or a family history that's making them want to do a colonoscopy already? Its only been 2 years and if you're supposed to go every 5 then there's no reason to unless there's an issue.
Plus insurance may not pay for it if its not justified.

Or are you a good candidate for other types of tests like the cologaurd?

 

[mrsstats79]

I have medicare. Just had this done 2 weeks ago. It was covered by insurance with an anesthesiologist giving the sedative, which is just a twilight sleep.

 

[barkley]

My new PCP insists on me having a colonoscopy

I explained to her what happened the last time which was in 2023. Im supposed to go every 5 years
and why Im so scared to go anymore--I stopped breathing twice the dr gave me to much fentanyl
since I was a fidgety..He kept giving me more since the dose wasnt working..But then it all hit my system
at once..They had to give me Narcan to reverse the overdose.

She said I could have anesthesiologist with me which could maybe help me.
Not sure thoght if my insurance will cover that.

I know all insurances are different Im on medicare.
But jsut wondering if anyone else had an anesthesiologist and insurance covered it.
I know theres people out there that dont have any sedation at all.
I have already messaged my insurance about it.

mediCARE covered everything on mine. there was an anesthesiologist and propofol was used. I remember the medication in particular b/c it was no getting woozy and going under it was immediate full 'lights out'. after the procedure I remarked to the anesthesiologist 'how could anyone claim Michael Jackson could have self administered that stuff?'. same thing for my brother on a different mediCARE plan in another state.

 

[Dznypal]

thanks for the great tips
I have to clarify that I had my last one in 2018 so I mis typed that I was due for the next one in 2023
Im glad you were able to have an anesthesiologist
Thats who I needed--both my DH and myself had the same dr he had 3 I had 2 and neither one of us had an anesthesiologist--for me it was an nurse who gave me the fentanyl cause I remember talking to her about it before she gave it to me
actually I also had midazolam and Benadryl so I should have been out cold.
I still dont have a good feeling about this.
This also give me panic attacks just thinking of having to have this done again not sure what they can do for that.
Thanks all

 

[TippyThomas]

All of mine have been done with an anesthesiologist and insurance has covered it each time with no problems.

 

[tvguy]

I know theres people out there that dont have any sedation at all.

 

[tvguy]

Or are you a good candidate for other types of tests like the cologaurd?

OP is on a 5 years schedule instead of the normal 10 years. I suspect OP has health issues that rule out cologuard.

 

[Dznypal]

Actually the 2 that I had they removed 1 polyp each time
I’m already worked up about this and I don’t even have a new dr for it
My new PCP said she could recommend 2

 

[Kooks and Bay Bay]

OP it seems like you had a quack before.
I would go with a different group this time.
They don't usually give you all that stuff just some propofol.
It could also be that since this was 7 years ago they used different meds than they do now.
My mom has had one 4 times in 2 years. The most recent being a couple weeks ago. (don't ask the place went overboard but she just got a report that said she can wait 3 years).
Hers have all gone fine and other than getting through the prep she's always saying how great it is to have the propofol and be lights out and then be awake and not groggy.
I had an endoscopy a few years ago and felt the same.

 

[tvguy]

Actually the 2 that I had they removed 1 polyp each time
I’m already worked up about this and I don’t even have a new dr for it
My new PCP said she could recommend 2

The polyps are why you are every 5 years. My wife is in the same boat.